title: Transapical endovascular stenting of penetrating atherosclerotic ulcer of ascending aorta.
abstract: A 71-year-old woman presented with acute chest pain and was admitted at our institution. Computed tomography revealed a penetrating atherosclerotic ulcer in the ascending aorta with extensive intramural hematoma. A transapical endovascular stenting was successfully performed. Computed tomography at a 6-month follow-up visit revealed a type I endoleak, which was restented through the same approach. Despite initial satisfactory results, follow-up revealed a persistent endoleak, so that a high-risk open surgical repair was required. Surgical replacement of the ascending aorta was successfully performed without postoperative neurologic deficit.
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany.
authors.forename: Utz
authors.initials: U
authors.lastname: Kappert
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany. Electronic address: tamer_ghazy@hotmail.com.
authors.forename: Tamer
authors.initials: T
authors.lastname: Ghazy
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Ouda
authors.affiliation: Department of Interventional Radiology, Dresden University of Technology, Dresden, Germany.
authors.forename: Ralf-Thorsten
authors.initials: RT
authors.lastname: Hoffmann
authors.affiliation: Department of Cardiology, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany.
authors.forename: Gregor
authors.initials: G
authors.lastname: Simonis
authors.affiliation: Department of Cardiac Surgery, Dresden Heart Centre, Dresden University of Technology, Dresden, Germany.
authors.forename: Klaus
authors.initials: K
authors.lastname: Matschke
mesh_terms: D000368:Aged; D001011:Aorta; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D050197:Atherosclerosis / Q000150:complications / Q000601:surgery*; D057510:Endovascular Procedures; D005260:Female; D006801:Humans; D015607:Stents; D014456:Ulcer / Q000150:complications / Q000601:surgery*
keywords: 26